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Le trauma et le corps: Une approche sensorimotrice de la psychothérapie

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La répétition rapide déclenche de façon répétée l'activité sensorimotrice périphérique et l'activation neuronale centrale. The experience of pain serves as an essential survival mechanism that motivates us to protect ourselves from harm; however, following spinal cord injury, the development of treatment-resistant neuropathic pain often ensues, bringing no advantage to the sufferer but severely reducing the quality of life. Chronic pain affects a vast sector of the population for which the socioeconomic cost exceeds that of heart disease, cancer and diabetes [ 1]; thus, successfully treating neuropathic pain would bring significant benefits. Blefari M. L., Sulzer J., Hepp-Reymond M.-C., Kollias S., Gassert R. (2015). Improvement in precision grip force control with self-modulation of primary motor cortex during motor imagery. Front. Behav. Neurosci. 9:18. 10.3389/fnbeh.2015.00018 Temperature of sham-treated animals was not significantly different before and after treatment, while light-treated animals’ experienced a significant 1.2°C increase. This increase does not exceed the normal range for rat tail skin temperature variations which have been reported to oscillate by±2°C within a 2-h time frame [ 43]. However, as there was a small but significant temperature increase 2min after light treatment, it is likely that there was a larger temperature increase during the 30min treatment period. We therefore cannot rule out the possibility that temperature increases did not impact on our findings. Nevertheless, red light treatment does result in significant functional and cellular improvements, regardless if temperature is a contributing factor. If temperature increases were to contribute toward improved outcomes, it would be in contrast to studies of hypothermic treatment which propose superior outcomes following spinal cord injury [ 44– 46]. As the mechanisms of action for light-treatment improvements remain to be elucidated, future investigations isolating the effect of temperature and light are warranted.

Perkins B, Orszag A, Ngo M, Ng E, New P, et al. (2010) Prediction Of Incident Diabetic Neuropathy Using The Monofilament Examination: A 4-Year Prospective Study. Diabetes Care 33: 1549–1554. Bril V, Perkins B, Toth C (2013) Neuropathy: Clinical Practice Guidelines Expert Committee. Canadian Journal Of Diabetes 37: S142–S144.APRIL 19, 2024 - DECEMBER 15, 2024 Milan/Rome, Italy. Level 2: La Psicoterapia Sensomotoria per le ferite Relazionali e dello Sviluppo Perkins B, Orszag A, Grewal J, Ng E, Ngo M, et al. (2008) Multi-Stie Testing With A Point-Of-Care Nerve Conduction Device Can Be Used In An Algorithm To Diagnose Diabetic Sensorimotor Polyneuropathy. Diabetes Care 31: 522–524. Guidelines In Electrodiagnostic Medicine. American Association Of Electrodiagnostic Medicine. Muscle And Nerve 15: 229–253.

Zieglar D, Luff D (2002) Clinical Trials For Drugs Against Diabetic Neuropathy: Can We Combine Scientific Needs With Clinical Practicalities? Elsevier 50: 431–463. Anti-inflammatory microglia/macrophages are promoted early by red light treatment following T10 hemicontusion spinal cord injury. a– d Total activated microglia/macrophages (ED1 +) per mm 2 contralateral ( a) and ipsilateral ( b) to the injury and example images from SCI ( c) and SCI+670 ( d) groups. e– h M1 (pro-inflammatory) microglia/macrophages (CD80 +ED1 + double labelled) expressed as a proportion of total ED1 + cells contralateral ( e) and ipsilateral ( f) to the injury and example images from SCI ( g) and SCI+670 ( h) groups. i– l: M2 (anti-inflammatory) microglia/macrophages (Arginase1 +ED1 + double labelled) expressed as a proportion of total ED1 + cells contralateral ( i) and ipsilateral ( j) to the injury and example images from SCI ( k) and SCI+670 ( l) groups. All example images are taken from the injury zone of the dorsal horn at 7days post-injury. Schematic cross section of spinal cord ( bottom) indicates location of injury ( dark grey penumbra) and region of quantification ( light grey region). Scale bars: 50μm. * p<0.05 (linear mixed model); ** p<0.01, *** p<0.001 (Student’s t test); † p<0.05, †† p<0.01, ††† p<0.001 (Wilcoxon rank-sum)

AUGUST 4, 2023 - JANUARY 28, 2024 Mountain Time Zone/Western Canada. Level 1: Sensorimotor Psychotherapy for Trauma Themes - Online MAY 18, 2024 - NOVEMBER 23, 2024 Pacific Time Zone. Level 1: Sensorimotor Psychotherapy for Trauma Themes - Online

Les dysfonctionnements de l’intégration sensorielle et motrice peuvent avoir des conséquences sur le comportement des enfants, tels que : Debarnot U., Clerget E., Olivier E. (2011). Role of the primary motor cortex in the early boost in performance following mental imagery training. PLoS One 6:e26717. 10.1371/journal.pone.0026717 Il existe différents types de dysfonctionnement de l’intégration sensorielle et motrice, dont voici les principaux :Ritzwoller D, Ellis J, Korner E, Hartsfield H, Sadosky A (2009) Comorbidities, Healthcare Service Utilization And Costs For Patients Identified With Painful Dpn In A Managed-Care Setting. Current Medical Research And Opinion 6: 1319–1328. Voici quelques-unes des techniques utilisées dans l’approche douce de l’intégration sensorielle et motrice : NOVEMBER 10, 2023 - MAY 17, 2024 Mountain Time Zone. Level 1: Sensorimotor Psychotherapy for Trauma Themes - Online

SEPTEMBER 21, 2023 - MARCH 23, 2024 Utrecht, Netherlands. Level 1: SP for the Treatment of Trauma (NL) Microglia/macrophages can adopt pro- or anti-inflammatory states [ 30]. To determine the effect of red light treatment on the expression of pro-inflammatory (M1) cells, cells co-expressing CD80 and ED1 were quantified as a proportion of total ED1 + cells (Fig. 6e– h, n=5 for each time point). The proportion of CD80 +ED1 + cells ipsilateral to the injury was maximal at day 1 and remained greater than 40% of the ED1 population at days 3 and 7 in more than half of animals. CD80 +ED1 + cells were only found at day 3 on the contralateral side which coincided with the maximum number of ED1 + cells at that time point. Red light treatment did not have a significant impact on the proportion of M1 cells on either the ipsi- or contralateral sides. Note that no CD80 +ED1 + cells were encountered at days 1 and 7 contralateral to the injury as ED1 + cells were also in small quantities at these time points (Fig. 6a). Panels A and B: Scatterplot of SNAP (A) and SNCV (B) showing the line of unity (diagonal solid line) between the two methods. Panels C and D: The Bland-Altman plots demonstrating the mean difference (depicted by the solid line) between SNAP (C) or SNCV (D) obtained by the two methods. Points above or below zero on the y-axis represent over- and underestimation by the point-of-care device, respectively. The dotted lines represent the upper and lower limits of the 85% confidence interval. Unrecordable SNCV results for both nerve conduction methods were assigned a value of 30.4 m/s, representing the lowest value in the dataset. Such data handling was applied to 9 values for standard NCS and 3 values for the point-of-care device. JUNE 29, 2023 - FEBRUARY 14, 2024 Italy (Online). Level 1: Psicoterapia Sensoriomotoria per il trattamento del Trauma - (online) JUNE 23, 2023 - MARCH 3, 2024 Eastern Time Zone. Level 2: Sensorimotor Psychotherapy for Developmental & Relational Injury - OnlineJANUARY 13, 2024 - APRIL 27, 2024 Japan (Online). Level 1: Sensorimotor Psychotherapy for Trauma Themes - Online

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